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General NPI Number Information
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NPI Number | 1992072243
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Entity Type | Organization
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Legal Business Name | PATRICK OKEEFE CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 1421 LUISA ST STE A
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City | SANTA FE
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State | NM
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Zip | 87505-4073
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Country | US
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Telephone | 505-983-4225
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Fax | 505-983-7256
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Provider Business Mailing Address
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Address Line | 1421 LUISA ST STE A
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City | SANTA FE
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State | NM
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Zip | 87505-4073
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Country | US
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Telephone | 505-983-4225
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Fax | 505-983-7256
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK J OKEEFE
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Credential | DC
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Telephone | 505-983-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1549
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License Number State | NM
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